Multidisciplinary management of giant cervicothoracic cutaneous squamous cell carcinoma

P A López; M Pedraza; A Moreno; O García; R Buitrago; G Mogollon; L Fory; H Conrado

doi:10.1016/j.ijscr.2019.07.068

Multidisciplinary management of giant cervicothoracic cutaneous squamous cell carcinoma

Int J Surg Case Rep. 2019:61:294-297. doi: 10.1016/j.ijscr.2019.07.068. Epub 2019 Aug 1.

Authors

P A López¹, M Pedraza², A Moreno³, O García⁴, R Buitrago⁵, G Mogollon⁶, L Fory⁷, H Conrado⁸

Affiliations

¹ Department of General Surgery, Bosque University, Colombia; Bosque University, Colombia.
² Department of General Surgery, Bosque University, Colombia; Bosque University, Colombia. Electronic address: mpedraza93@gmail.com.
³ Department of Head and Neck Surgery, National Institute of Cancer, Bogotá, Colombia; National Institute of Cancer, Bogotá, Colombia; Bosque University, Colombia.
⁴ Department of Soft Tissue and Breast, National Institute of Cancer, Bogotá, Colombia; National Institute of Cancer, Bogotá, Colombia.
⁵ Department of Thorax Surgery, National Institute of Cancer, Bogotá, Colombia; National Institute of Cancer, Bogotá, Colombia.
⁶ Department of Head and Neck Surgery, National Institute of Cancer, Bogotá, Colombia.
⁷ Department of General Surgery, Universidad Militar Central, Bogotá, Colombia.
⁸ South Colombian University, Colombia.

Abstract

Introduction: Cutaneus squamous cell carcinoma (SCC) is the second most common type of nonmelanoma skin cancer. SCC is a malignant neoplasm of the skin characterized by aberrant proliferation of keratinocytes.

Presentation case: We report multidisciplinary surgical management of a 36-year-old male who presented with a huge cutaneous protruding tumor of the cervicothoracic wall. Clinically, he presented with a growing mass on the anterior cervicothoracic wall 3 years ago. Microscopic examination revealed SCC. He underwent complete excision of the lesion. The patient neglected attending our oncological department for receiving chemotherapy. Today, one year after surgery, he is alive without evidence of disease recurrence.

Discussion: SCC treatment depends on location of the lesion, involvement of neighboring structures, functional level of the patient, and the patient's acceptance of the proposed management strategy.

Conclusion: We conclude that SCC can grow to a huge size if left untreated. Surgery by a multidisciplinary surgical team is the primary mode of treatment, followed by chemotherapy if necessary.

Keywords: Cutaneous; Invasion; Metastasis; Skin cancer; Squamous cell carcinoma.